Katie Hagerstrom, MSN, APNP, AGPC-BC is a medicare enrolled "Internal Medicine - Geriatric Medicine" in Wrightstown, Wisconsin. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sequoia Integrative Medical Services Llc and her current practice location is
253 Patricia Ln, Wrightstown, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 512-6489.
Katie Hagerstrom is licensed to practice in Wisconsin (license number 16206-33) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1972994093.
Provider's Profile
| Full Name | Katie Hagerstrom |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 253 Patricia Ln, Wrightstown, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katie Hagerstrom graduated from nursing school in 2024
NPI Data:
- NPI Number: 1972994093
- Provider Enumeration Date: 02/11/2015
- Last Update Date: 11/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698295525
- Enrollment ID: I20250224000369
Medical Identifiers
Medical identifiers for Katie Hagerstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972994093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 199212-30 (Wisconsin) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 16206-33 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sequoia Integrative Medical Services Llc | 8527480250 | 7 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katie Hagerstrom allows following entities to bill medicare on her behalf.
| Entity Name | Sequoia Integrative Medical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790312171
PECOS PAC ID: 8527480250
Enrollment ID: O20200625000133 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katie Hagerstrom is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Katie Hagerstrom, MSN, APNP, AGPC-BC
253 Patricia Ln,
Wrightstown, WI 54180-1201
Ph: (920) 512-6489 | Katie Hagerstrom, MSN, APNP, AGPC-BC
253 Patricia Ln,
Wrightstown, WI 54180-1201
Ph: (920) 512-6489 |
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